FirstTherapy vs BetterHelp
BetterHelp is one of the largest online therapy platforms, built around a weekly subscription that bundles messaging with live sessions.
FirstTherapy is $39 per session with a personal therapist match and no subscription. Here is how the two compare. Pricing is approximate and as of 2026.
| Feature | FirstTherapy | BetterHelp |
|---|---|---|
| Pricing model | Pay per session | Monthly subscription |
| Cost per session | $39 | Not sold per session |
| Monthly cost | None | $240 to $400/mo |
| Subscription required | ||
| Free option | Limited free spots | |
| Licensed therapists | ||
| Therapist matching | Personal match | Algorithm |
| Video sessions | ||
| Switch therapist | Anytime | Self-serve, no handover |
FirstTherapy vs BetterHelp: FAQ
Is FirstTherapy cheaper than BetterHelp?
FirstTherapy is pay-per-session at $39, with no subscription. BetterHelp is a weekly subscription billed monthly (roughly $240 to $400/mo as of 2026), so cost depends on how often you go. If you want a single session, FirstTherapy is far less to start.
Does BetterHelp let you pay per session?
No. BetterHelp bills as a weekly/monthly subscription that bundles messaging and sessions. FirstTherapy charges per session, so you only pay when you book.
Want to try FirstTherapy? Book a licensed therapist matched to you.
Book your first sessionComparison is for general guidance and reflects publicly listed pricing as of 2026, which may change. BetterHelp is a trademark of its respective owner; this page is not affiliated with or endorsed by BetterHelp.